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General NPI Number Information
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NPI Number | 1760465389
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Entity Type | Individual
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Provider Name | JULIO M BAQUERO MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 8900 NORTH KENDALL DRIVE
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 786-596-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 SW 73RD ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4679
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Country | US
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Telephone | 786-662-5104
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Fax | 786-662-5350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME53601
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License Number State | FL
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